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HARROGATE STS INDUCTION PROGRAMME

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HARROGATE STS INDUCTION PROGRAMME Powered By Docstoc
					       HARROGATE STS
     INTRODUCTION DAY




DR RICHARD HALL


     11.8.11
              PROGRAMME
   1215-1300 Lunch
   1300-1400 Introduction to Harrogate STS
    (Richard Hall)
   1400-1500 Work Place Based Assessments
    (Chris Walsh)
   1500-1515 Coffee/tea break
   1515-1545 Vital facts for ST1s- Dr M Locke
   1545-1630 Small group work
   1630-1700 Looking at portfolios-
    introduction
                   CONTENT
   Our educational
    philosophy.
   How to work together
    and group rules
   Planning your learning
   Assessments
   Communication skills
   E-portfolio
   Some housekeeping
    matters
            INTRODUCTIONS
   Facilitators Richard Hall and Chris Walsh-Harrogate
    STS
   APD John Hain
   Introductions -all new Harrogate STS trainees
   STS Administrator. Mrs Lisa Adams. Strayside
    Education Centre, Harrogate Hospital. Telephone
    01423 553094. lisa.adams@hdft.nhs.uk
   WEBSITE http://www.harrogategpsts.co.uk/
                          AIMS
   To consider the statutory
    educational requirements.
   To look at the (hopefully
    not new to you) concept
    of adult learning.
   Plan your learning-study
    leave budgets!
   How to engage with the
    e-portfolio
        Aims - Getting YOU To:-
   Start to think about looking
    after yourself.
   Start to think about the
    consultation process.
   Consider the organisation of
    primary care.
   Accelerate learning
   Dealing with uncertainty
   To consider comparisons
    between primary and
    secondary care.
                  PHILOSOPHY
   3 years isn’t long enough to
    learn all the skills and
    knowledge for a lifetime in
    practice.
   Some of the stuff you learnt
    in medical school is out of
    date (most of what I learnt)
   General practice is a lot
    about rather soft knowledge,
    not so much the hard facts of
    textbooks.
            PHILOSOPHY CONT
   These skills remain constant
    despite changing knowledge
    and the changes of
    deckchairs in health delivery
    structures
   A good GP is particularly
    skilled in higher order social
    skills that revolve around
    consultation and
    interpersonal skills
          ADULT LEARNING
“The purpose of adult
  education is to help them
  to learn, not to teach
  them all they know and
  thus stop them from
  carrying on learning”

               Rogers 1988
           ICE BREAKER
   GETTING TO KNOW YOUR GROUP
   HOPES AND FEARS
            GROUP LEARNING
   Most of the work you
    will be doing is in small
    groups.
   What skills does this
    develop?
                 Group Rules
   Confidentiality –
   Respect
   Listening
   Contributing in a dominant way
   Contributing in a passive way
           Acronym quiz

   AIT
   AKT
   ARCP
   CSA
   WPBA
   DOPS
   COT
   CBD
   NOE
    WHAT IS INVOLVED WITH STS
   REGISTER AIT @ RCGP
   GET LOST IN SEA OF ACRONYMS
   ATTEND HDR-80%
   KEEP ePORTFOLIO UP TO DATE
   EDUCATIONAL SUPERVISION
   ARCP PANELS
   CONTRACTS
   OOH
   HAVE FUN
                              HDR
   Thursday afternoons 2-5pm
   Attendance “Mandatory” –80%
    attendance – either HDH or
    equivalent approved education.
   If there is no HDR session then
    you should be in practice/
    hospital post.
   If you are unable to attend please
    inform Lisa well in advance (as it
    counts towards your study leave)
   Timekeeping/Respect
   Mobile phones Off –unless on
    call.
   Parking
                 STUDY LEAVE
   15 days every 6 months,
    including HDR.
   Plan ahead and discuss with
    your trainer / clinical
    supervisor/educational
    supervisor
   Must be in PDP.
   Must be relevant and local.
   Apply well in advance – 4
    weeks notice - using the
    forms available from Lisa
    Adams.
   Remember budget is limited
    to £400pa-approval TPD
    discretion.
              EDUCATIONAL
              SUPERVISION
   1 ES allocated for whole scheme
   Meetings 1 in first 2m
   Then 6 monthly-
   Role of ES
   Guide through WPBA
   Facilitate PDP
   Assess progress to competences
   Report pre ARCP
   Pastoral
                    OOH
 36 hours in 6m
 Book via website-Linda parkinson
  Linda.Parkinson@hdft.nhs.uk
Or Jude Partridge-Judith.Partridge@hdft.nhs.uk
 Telephone triage/pcc consults/home visits

 Book sessions early –difficult just pre ARCP

 With trainer or approved supervisor or partner
  of practice where work.
                       nMRCGP
   Components:-
   1 AKT – applied
    knowledge test
   2 CSA – clinical skills
    assessment
   3 WPBA – workplace
    based assessment.
                         AKT
   The AKT is designed to
    test the application of
    knowledge and
    interpretation of
    information
   Each question is
    intended to explore a
    topic of which an
    ordinary GP could be
    expected to have a
    working knowledge
                           AKT Format:
   An “evolution” from the previous
    MCQ
   A three hour, 200 item multiple-
    choice
   Delivered on a computer terminal at
    an invigilated test centre
   Offered initially three times a year
    Oct/Nov, Jan/Feb, April/May
   No limit to the number of attempts
   A pass will be valid for three years
    only
   Can be attempted at any time during
    GP specialist training (GPST), but
    most appropriately at end ST2-
    beginning ST3
                  Question writing
   Scenarios derived from clinical work
   Practice issues
   Topical

   All questions are referenced and the draft questions are then
    carefully scrutinised by a panel of other question writers.

   Remember that all question writers are working GPs
              AKT subject content
   Core clinical medicine and its application to problem
    solving in a general practice context
    –   80% of items

   Critical appraisal and evidence based clinical practice
    –   10% of items

   Ethical and legal issues as well as the organisational
    structures that support UK general practice
    –   10% of items
           AKT Stats –May 2011
   Pass mark 69%
   Overall pass rate 72.6%
   ST2 75% /ST3 81.9% 1st time takers
   The mean scores by subject area were:
   'Clinical medicine' 74 %
   ‘Evidence interpretation’ 74 %
   ‘Administration questions’ 73 %
   See regular feedback RCGP
                                  CSA
   Takes place in the ‘NLA Tower’ in Croydon
   13 patients – all trained simulators of which 12 scenarios are assessed.
   10 minute consultations at the end of which buzzer will sound – 2
    minutes then next buzzer and new consultation begins
   Patients and assessors come to you
   OK to examine (not intimate examinations!) if appropriate. You may be
    given a card of relevant findings
                CSA Continued:-
   Bring your own equipment – stethoscope, sphyg.,
    patella hammer, auri/ophthalmoscope, PEFR meter/
    mouthpieces etc (typical Drs. Bag and it’s all on the
    website www.rcgp.org.uk)
    domains assessed – data gathering, technical and
    assessments skills, clinical management skills and
    interpersonal skills.
   4 Grades – CP, MP, MF, CF
                  CSA Continued:-
   Results given via ePortfolios
    after approximately 3 weeks
    as grades of the 12 assessed
    cases and an overall pass or
    fail.
    4 sittings per year –
    Feb/May/September and
    November – dates on
    website
   There are periodic “Mock
    CSA’s” run locally either at
    scheme level or Deanery –
    get your name down and
    have a go!
           Data On CSA-May 2011

   Overall Pass rate 64%
   The mean score for the entire cohort was 77.2 out of 117
   The pass rate for first time applicants was 77.9%
   Pass rate 4th time applicants 30%

Pass Rates by Country of Qualification
 UK Graduates 91.6% (AKT-90%)
 EEA Graduates 72.0%(AKT-65%)
 Non EEA Graduates 54.0%(AKT-70%)
                CSA -marking
   13 cases
   Each case is marked by a different examiner
   3 domains-carry equal weight -3 per case
   Data Gathering
   Clinical Management
   Interpersonal Skills
   Total –from all 13 cases-no standard-total 117
      CSA-tests the following areas
   Primary Care Management - recognition /management of
    common medical conditions

   Problem Solving Skills - gathering / using data for clinical
  judgment, choice of examination, investigations and their interpretation.
  Demonstration of a structured and flexible approach to decision making.
 Comprehensive Approach - proficiency in the management of co-
  morbidity and risk.

   Person-centred Care - communication with patient and the use of
    recognised consultation techniques to promote a shared approach to
    managing problems.

   Attitudinal Aspects - practising ethically with respect for equality and
    diversity, with accepted professional codes of conduct.

   Clinical Practical Skills - proficiency physical examinations and using
    diagnostic/therapeutic instruments
                     TOPICS
 ePortfolio
 nMRCGP components

–WPBA/AKT/CSA
 “The Curriculum”

 HDR

 CONTRACTS

 Educational Supervison

 CSR reports

 ARCP panels-how to prepare

 What is a good log entry

 Consultation skills
                              LINKS
   HARROGATE STS WEBSITE-
    http://www.harrogategpsts.co.uk/
    updates/index.html
   YORKSHIRE AND HUMBER
    SCHOOL OF PRIMARY CARE-
    http://www.yorksandhumberdean
    ery.nhs.uk/general_practice/
   BRADFORD STS-
    www.bradfordvts.co.uk
   PENNINE STS-www.pennine-gp-
    training.co.uk
Finally
     Ideas to cover in small groups
   You will decide !

   “Leaders” have two roles
       “Facilitator”
      Encourage active
      participation and
      identification of
      learning needs.
     “Expert”
        Experienced GP
                      TOPICS
   GP culture v secondary
    care
   Consultation process
   Difficult consultations
   Role of video
   Adult learning/ Styles
   Hospital jobs
   Half/Day release
           Team building activity
   40 mins /4 groups
   Design a marketing plan for marketing the Harrogate
    Vocational training scheme.
   Appoint a team leader
   Give a presentation for about 5 mins at end (use as
    many of team as possible-and ensure mix all ST
    groups).
   Target audience FY2s applying for GP Training
   You can use any resources visual aids,leaflets , even
    song ,dance and humour
   Max points for variety of resources used and interest.

				
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